Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $406.14 / $5,165.00 / $17,013.00	Facility		$406.14	$5,165.00	$17,013.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.42 / $364.32 / $1,289.52	Professional		$226.42	$364.32	$1,289.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,597.00 / $9,381.00	Facility		$1,787.00	$4,597.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.82 / $350.02 / $697.14	Professional		$251.82	$350.02	$697.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,615.58	Facility		$66.00	$100.00	$7,615.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $253.10 / $389.35 / $745.76	Professional		$253.10	$389.35	$745.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $470.72 / $471.55 / $2,277.00	Facility		$470.72	$471.55	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.32 / $421.86 / $779.52	Professional		$266.32	$421.86	$779.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $167.91 / $319.87 / $561.54	Professional		$167.91	$319.87	$561.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $249.29 / $411.19 / $711.13	Professional		$249.29	$411.19	$711.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,149.28 / $1,245.02 / $11,500.00	Facility		$1,149.28	$1,245.02	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,792.96 / $2,713.84 / $3,123.45	Professional		$1,792.96	$2,713.84	$3,123.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $258.64 / $394.03 / $591.21	Facility		$258.64	$394.03	$591.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $269.74 / $448.40 / $902.36	Professional		$269.74	$448.40	$902.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $800.11 / $800.11 / $1,299.00	Professional		$800.11	$800.11	$1,299.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $235.00 / $317.62 / $520.21	Professional		$235.00	$317.62	$520.21
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $299.70 / $392.27 / $883.71	Professional		$299.70	$392.27	$883.71